| Mr Jack Eugene Mallery, LPC | |
|
7305 Hampton Blvd, Norfolk, VA 23505-2908 | |
| (757) 623-2700 | |
| (757) 640-1058 |
| Full Name | Mr Jack Eugene Mallery |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 7305 Hampton Blvd, Norfolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700969383 | NPI | - | NPPES |
| 004945395 | Other | VA | PROVIDER NUMBER |
| 175080 | Other | VA | PROVIDER NUMBER |
| 004945395 | Medicaid | VA | |
| 083239M | Other | VA | PROVIDER NUMBER |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Eugene Mallery, LPC 2114 Bayberry St, Virginia Beach, VA 23451-1402 Ph: (757) 481-2485 | Mr Jack Eugene Mallery, LPC 7305 Hampton Blvd, Norfolk, VA 23505-2908 Ph: (757) 623-2700 |
Sarah Kooiman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 426 E Freemason St Ste 250, Norfolk, VA 23510 Phone: 757-524-1636 | |
Mrs. Danielle Leibovici, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 W 19th St, Norfolk, VA 23517 Phone: 757-622-7017 | |
Armirah Stephens, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 250 W Brambleton Ave Ste 101, Norfolk, VA 23510 Phone: 757-781-1488 | |
Katelyn Shelby Wagner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 802 Graydon Ave Apt A2, Norfolk, VA 23507 Phone: 602-568-2038 | |
Sarah C Stovall, Couples Therapy Medicare: Medicare Enrolled Practice Location: 110 Kingsley Ln Ste 106, Norfolk, VA 23505 Phone: 805-415-8544 | |
Ms. Bonita Hale Erb, LPC/LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750 | |
Dr. Barbara Leugh Kersey, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 880 Kempsville Rd, #2200, Norfolk, VA 23502 Phone: 757-466-6350 Fax: 757-466-9262 |